Medical Release

Little League Baseball and Softball
MEDICAL RELEASE

NOTE: To be carried by any Regular Season or Tournament
Team Manager together with team roster or International Tournament affidavit.




PARENT OR GUARDIAN AUTHORIZATION:
In case of emergency, if family physician cannot be reached, I hereby authorize my child to be treated by Certified Emergency Personnel. (i.e. EMT, First Responder, E.R. Physician)


If parent(s)/guardian cannot be reached in case of emergency, contact:


Please list any allergies/medical problems, including those requiring maintenance medication. (i.e. Diabetic, Asthma, Seizure Disorder)

The purpose of the above listed information is to ensure that medical personnel have details of any medical problem which may interfere with or alter treatment.
 

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